Organization
CARDIAC & PERIPHERAL VASCULAR SPECIALS OF NORTHERN ARIZONA
Active
Other names
CPVS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA FOSTER (OFFICE MANAGER)
(928) 213-1051
Entity
Organization
Contact information
Practice address
1515 E CEDAR AVE STE D-2, FLAGSTAFF, AZ 86004-1638
(928) 213-1051
(928) 213-1053
Mailing address
2532 N 4TH ST, FLAGSTAFF, AZ 86004-3712
(928) 213-1051
(928) 213-1053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983206
—
AZ
Enumeration date
10/25/2007
Last updated
10/25/2007
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